7Risk Axes

National percentile · lower = less risk · staffing gap is context only (not in composite)

How we calculate
SeverityElevated

98th national percentile — 26.3% high-severity citations

ChronicityLow

22th national percentile — 2 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

5 citations

Weekend staffing dropLow

28th national percentile — 12.8%

Contract staff shareModerate

36th national percentile — 0.0%

Clinical trendElevated

91th national percentile — 3/5 measures worsened

Staffing gapAligned

Reported 3.58 vs expected 3.52 · +0.06 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

19 citations on file
F-0812
F
Procure food from sources approved or considered satisfactory and store,…
Potential Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey date: Dec 12, 2025 · Widespread — no actual harm with potential for more
F-0867
K
Set up an ongoing quality assessment and assurance group to review quali…
Actual Harm

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Survey date: Apr 14, 2022 · Pattern — immediate jeopardy
F-0880
E
Provide and implement an infection prevention and control program
Potential Harm

Provide and implement an infection prevention and control program.

Survey date: Apr 14, 2022 · Pattern — no actual harm with potential for more
F-0655
D
Create and put into place a plan for meeting the resident's most immedia…
Minimal Harm

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Survey date: Apr 14, 2022 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

5 citations on file
F-0900
D
Meet Health Care Facilities Code mechanical requirements
Minimal Harm

Meet Health Care Facilities Code mechanical requirements.

Survey date: Dec 12, 2025 · Isolated — no actual harm with potential for more
F-0225
D
Have stairways and smokeproof enclosures used as exits that meet safety …
Minimal Harm

Have stairways and smokeproof enclosures used as exits that meet safety requirements.

Survey date: Jan 24, 2019 · Isolated — no actual harm with potential for more
F-0361
E
Ensure that waiting areas, nurse’s stations, gift shops, and cooking fac…
Potential Harm

Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.

Survey date: Jan 24, 2019 · Pattern — no actual harm with potential for more
F-0363
E
Install corridor and hallway doors that block smoke
Potential Harm

Install corridor and hallway doors that block smoke.

Survey date: Jan 24, 2019 · Pattern — no actual harm with potential for more

Better Nearby Options

Within 25 km · sorted by overall risk percentile

Full nearby list
Facility
CMS
Risk %ile
Tier
Elizabethtown Nursing and Rehabilitation Center
18.9 km · Elizabethtown, KY
CMS
38th
Risk %ile
Lower risk
Signature Healthcare of Elizabethtown
22.0 km · Elizabethtown, KY
★★
CMS
48th
Risk %ile
Similar risk
Kensington Nursing and Rehabilitation Center
17.7 km · Elizabethtown, KY
CMS
49th
Risk %ile
Similar risk